Healthcare Provider Details

I. General information

NPI: 1982924163
Provider Name (Legal Business Name): DANA ZAIS LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 06/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FREDERICK ABBOTT WAY
FRAMINGHAM MA
01701-7992
US

IV. Provider business mailing address

4 SHERBURNE RD
WESTBOROUGH MA
01581-2410
US

V. Phone/Fax

Practice location:
  • Phone: 508-879-9800
  • Fax:
Mailing address:
  • Phone: 508-879-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1023794
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: